Organization
CALIFORNIA HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY PEKUN (CFO)
(310) 877-5368
Entity
Organization
Contact information
Practice address
13658 HAWTHORNE BLVD, SUITE 200A, HAWTHORNE, CA 90250-5824
(310) 644-8302
Mailing address
13658 HAWTHORNE BLVD, SUITE 200A, HAWTHORNE, CA 90250-5824
(310) 644-8302
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
24879678
CA
Other
Enumeration date
11/14/2007
Last updated
08/24/2012
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